A Qualitative Assessment of “Generacion Actual”: An HIV Community Mobilization Intervention Among Gay Men and Transgender Women in Lima, Peru

Andres Maiorana (), Susan Kegeles, Elizabeth Lugo, Wendy Hamasaki, Ximena Salazar and Carlos Cáceres
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Andres Maiorana: Center for AIDS Prevention Studies, Division of Prevention Science, Department of Medicine, University of California, 550 16th Street, 3rd Floor, San Francisco, CA 94143, USA
Susan Kegeles: Center for AIDS Prevention Studies, Division of Prevention Science, Department of Medicine, University of California, 550 16th Street, 3rd Floor, San Francisco, CA 94143, USA
Elizabeth Lugo: Center for Interdisciplinary Research on Sexuality, AIDS and Society, Universidad Peruana Cayetano Heredia, Avenida Armendariz 445, Miraflores, Lima 15102, Peru
Wendy Hamasaki: Center for Interdisciplinary Research on Sexuality, AIDS and Society, Universidad Peruana Cayetano Heredia, Avenida Armendariz 445, Miraflores, Lima 15102, Peru
Ximena Salazar: Center for Interdisciplinary Research on Sexuality, AIDS and Society, Universidad Peruana Cayetano Heredia, Avenida Armendariz 445, Miraflores, Lima 15102, Peru
Carlos Cáceres: Center for Interdisciplinary Research on Sexuality, AIDS and Society, Universidad Peruana Cayetano Heredia, Avenida Armendariz 445, Miraflores, Lima 15102, Peru

IJERPH, 2025, vol. 22, issue 11, 1-22

Abstract: The high HIV prevalence among men who have sex with men and transgender women (TW) in Peru calls for innovative HIV prevention strategies to modify social norms, increase social support and promote empowerment and community mobilization. This qualitative article presents the synergistic processes that generated community mobilization throughout Generación Actual (GA, Current Generation in English), an HIV prevention intervention with gay men (GM) and TW in Lima South based on Mpowerment, a U.S.-model intervention program. We conducted 24 interviews with GM and TW participants, informed by observations of GA and the perceptions of its implementing coordinators, and complemented by the number/types of GA activities. Four significant processes occurred throughout GA: (1) high participant engagement, community building and empowerment; (2) an effect on HIV prevention and treatment; (3) the integration of GM and TW and (4) GA’s community center becoming a safe space for socializing, support and information. These processes helped produce positive changes related to self-empowerment, personal agency and the participants’ health, suggesting an impact of GA on HIV prevention, stigma reduction and care engagement. Community mobilization strategies that ensure active community participation and involvement may constitute relevant aspects for an effective approach to HIV prevention for TW and GM in Peru.

Keywords: HIV prevention interventions; gay men; transgender women; community mobilization; empowerment; Peru (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2025
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